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(Evidence Quality: Grade B, Rec. Key Action Statement 1B, clinicians should diagnose AOM in children who present with mild bulging of the TM and recent (less than 48 asthma hours) onset of ear pain (holding, tugging, rubbing of the ear in a nonverbal child) or intense erythema of the. (Evidence Quality: Grade C, Rec.
Key Action Statement 1C, clinicians should not diagnose AOM in children who do not have MEE (based on pneumatic otoscopy and/or tympanometry).
Purpose of This Section, there is no gold standard for the diagnosis of AOM. In fact, AOM has a spectrum of signs as the disease develops.
26, therefore, the purpose of this section is to provide clinicians and researchers with a working clinical definition of AOM and to differentiate AOM from OME.
The criteria were chosen to achieve high specificity recognizing that the resulting decreased sensitivity may exclude less severe presentations of AOM.
Changes From AAP/aafp 2004 AOM Guideline. Accurate diagnosis of AOM is critical to sound clinical decision-making and high-quality research.